Filing a Medical Claim
NOTE: If you use a network provider, you do not need to submit a claim to Anthem Blue Cross (for claims incurred in CA) or the appropriate Blue Cross Blue Shield office (for claims incurred outside of CA). Your network doctor, hospital or other provider will automatically accept assignment of benefits and bill directly to Anthem Blue Cross or the appropriate Blue Cross Blue Shield office. All you have to do is pay the appropriate co-insurance and deductible, if applicable.
All network and non-network claims must be submitted within one year of the date of service. Keep this in mind when coordinating benefits with other insurance plans. Regardless of the DGA-Producer Health Plan’s place in your coordination of benefits order (primary, secondary, etc.), your claim must be submitted within one year of the date of service.
For step-by-step instructions in filing your claim, click the appropriate statement below:
- I am filing a claim for services received in the United States.
- I am filing a claim for services received outside the United States, Puerto Rico and the Virgin Islands.
